Miranda K. Detore, PA-C
NPI 1720471774ActiveIndividual· Physician Assistant· Spokane, WA
Physician Assistant (PA-C) with Uptown Providers PC, practicing in Spokane, Washington. In 2024 Medicare paid $6,061 for 63 patients, and Part D covered 104 of their prescriptions, 89% of them generic. Lists Lincoln Hospital as a hospital affiliation.
Overview
| NPI | 1720471774 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Mar 16, 2015 |
| Last updated in NPPES | Feb 6, 2024 |
| Certified by provider | Feb 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA60610394 | WA |
| Physician Assistant, Surgical | 363AS0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 63 |
|---|---|
| Services billed | 107 across 16 procedure codes |
| Paid by Medicare | $6,061 |
Part D prescriptions in 2024
| Prescriptions (claims) | 104 · 115 30-day fills |
|---|---|
| Patients | 61 |
| Total drug cost | $4,350 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Uptown Providers PCHillsboro, OR · 49 clinicians
Hospital affiliation
- Lincoln HospitalDavenport, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 334 physician assistants in Spokane · All physician assistants in Washington